Emphysematous pyelonephritis and diabetes mellitus: A clinical perspective :Charan Bale, Sunil Mhaske, Vedavati B Purandare, Akshay Kulkarni, Abhijit Chavan, Nishant Vyas, Bharat Purandare, Chronicle of Diabetes Research and Practice

REVIEW ARTICLE
Year : 2023 | Volume : 2 | Issue : 1 | Page : 46--53

Emphysematous pyelonephritis and diabetes mellitus: A clinical perspective

Charan Bale¹, Sunil Mhaske², Vedavati B Purandare³, Akshay Kulkarni⁴, Abhijit Chavan⁴, Nishant Vyas⁵, Bharat Purandare⁶
¹ Department of Nephrology, Dr. D. Y. Patil Medical College, Hospital and Research Center, Pune, Maharashtra, India
² Department of Urology, Dr. D.Y. Patil Medical College and Research Hospital, DPU, Pune, Maharashtra, India
³ Department of Medicine, Chellaram Diabetes Institute, Pune, Maharashtra, India
⁴ Department of Nephrology, Dr. D. Y. Patil Medical College and Research Centre, D. Y. Patil Vidyapeeth, Pune, Maharashtra, India
⁵ Department of Immunology, Logical Life Sciences Pvt. Ltd., Pune, Maharashtra, India
⁶ Department of Infectious Disease, Deenanath Mangeshkar Hospital and Research Center, Pune, Maharashtra, India

Correspondence Address:
Charan Bale
Dr. D. Y. Patil Medical College and Research Centre, Pune, Maharashtra
India

Emphysematous urinary tract infections (UTIs) are lower or upper UTIs associated with gas formation. Emphysematous pyelonephritis (EPN) is a rare disease but is highly prevalent in patients with diabetes and even higher among female patients with diabetes. Earlier, the mortality rate of EPN was 60%–80%, but now, it has been reduced to 20% to 25% due to the availability of good antimicrobial agents and timely treatment. Our objective of this article is to elucidate the pathogenesis of EPN including gas-forming mechanism; discuss clinical features, radiological classification, and prognostic factors; in addition, compare the modalities of management of EPN and outcome among the various radiological classes.

How to cite this article:
Bale C, Mhaske S, Purandare VB, Kulkarni A, Chavan A, Vyas N, Purandare B. Emphysematous pyelonephritis and diabetes mellitus: A clinical perspective.Chron Diabetes Res Pract 2023;2:46-53

How to cite this URL:
Bale C, Mhaske S, Purandare VB, Kulkarni A, Chavan A, Vyas N, Purandare B. Emphysematous pyelonephritis and diabetes mellitus: A clinical perspective. Chron Diabetes Res Pract [serial online] 2023 [cited 2023 Mar 30 ];2:46-53
Available from: https://cdrpj.org//article.asp?issn=2773-1316;year=2023;volume=2;issue=1;spage=46;epage=53;aulast=Bale;type=0